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1043670854
CHARLES LEE
SHREVEPORT, LA
NPI
1043670854
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: LA 1971)
Enumeration Date
2016-03-07
Last Update Date
2016-03-07
Business Address
-- CHARLES LEE LCSW
6654 GILBERT PL
SHREVEPORT, LA 71106-3425
Phone number: 318-865-4360
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Mailing Address
-- CHARLES LEE LCSW
6654 GILBERT PL
SHREVEPORT, LA 71106-3425
Phone number: 318-865-4360
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